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Deficiency Records for The Orchards at Northwest
A list of the most recent deficiencies for The Orchards at Northwest. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for The Orchards at Northwest. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-08 | 2025-02-08 | N |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-01-08 | 2025-02-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-08 | 2025-02-08 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-08 | 2025-02-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-08 | 2025-02-08 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-08 | 2025-02-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-08 | 2025-02-08 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-08 | 2025-02-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-08 | 2025-02-08 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2025-01-08 | 2025-02-08 | N |
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-01-08 | 2025-02-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-08 | 2025-02-08 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-08 | 2025-02-08 | N |
Provide and implement an infection prevention and control program. | Health | 2025-01-08 | 2025-02-08 | N |
Implement a program that monitors antibiotic use. | Health | 2025-01-08 | 2025-02-08 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-01-08 | 2025-02-08 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-01-08 | 2025-02-08 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-08 | 2025-02-08 | N |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-01-08 | 2025-02-08 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
List the names and contact information of those in the facility. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Implement emergency and standby power systems. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-07 | 2025-02-08 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-18 | 2024-06-14 | N |
Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-03-22 | Y |
Meet other general requirements. | Fire Safety | 2024-03-14 | 2024-03-15 | Y |
Provide a written emergency evacuation plan. | Fire Safety | 2024-03-14 | 2024-03-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-02-02 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-18 | 2023-12-08 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-28 | 2023-11-30 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-28 | 2023-11-30 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-18 | 2023-11-03 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-18 | 2023-11-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-18 | 2023-11-03 | Y |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-10-18 | 2023-11-03 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-18 | 2023-11-03 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-18 | 2023-11-03 | Y |
Conduct testing and exercise requirements. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-25 | 2022-10-28 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-26 | 2022-09-16 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-26 | 2022-09-16 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-26 | 2022-09-16 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-26 | 2022-09-16 | N |
Ensure that residents are free from significant medication errors. | Health | 2022-08-26 | 2022-09-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-26 | 2022-09-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-26 | 2022-09-16 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-26 | 2022-09-16 | Y |
Keep all essential equipment working safely. | Health | 2022-08-26 | 2022-09-16 | Y |
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